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220418

Performance of chromID® CARBA-SMART medium and carbapenemase inhibition method for the detection of carbapenemases among Gram negative bacilli

Article

Last updated: 22 Jan 2023

Subjects

-

Tags

Antimicrobial resistance

Abstract

Background:Early detection of carbapenemase enzymes among Gram negative bacilli (GNB) is mandatory to prevent their spread. Objective: The goal of this study was to evaluate the performance of chromID® CARBA-SMART medium and carbapenemase inhibition method (CIM) for detection of carbapenemases in GNB. Methodology: A total of 142 GNB isolates were collected and tested using Vitek-2® system for identification and antimicrobial susceptibility testing The carbapenem resistant (CR) GNB were tested for carbapenemase production by phenotypic methods; chromID® CARBA-SMART medium and CIM. Carbapenemase genes (𝑏𝑙𝑎NDM-1, blaSIM-1,𝑏𝑙𝑎VIM-2, 𝑏𝑙𝑎KPC-1, blaGIM-1, blaSPM-1 and 𝑏𝑙𝑎OXA-48) were detected by PCR. Results: By minimal inhibitory concentration (MIC), 111 (78.17 %) of the 142 isolates were shown to be carbapenem resistant. Sensitivity and specificity of CIM and ChromID® CARBA-SMART medium were (100% and 66.7% respectively) for CIM and (86.7% and 100% respectively) for the medium. Resistance to carbapenem was associated with high percentages of resistance to many antibiotic classes. Carbapenemase genes were detected in 82% (91/111) of CR GNB with 𝑏𝑙𝑎NDM-1 (58.6%) and 𝑏𝑙𝑎OXA-48 (55.9 %) having the highest prevalence, followed by 𝑏𝑙𝑎KPC-1 (36 %) then 𝑏𝑙𝑎VIM-2 (10.8%) and lastly blaSPM-1 (3.6 %) and blaSIM-1 (1.8 %). The blaGIM-1 gene was not detected in any isolate. Conclusion:  Carbapenemase inhibition method was found to be a very sensitive, easy, and cheap test for carbapenemase detection but needs the addition of ChromID® CARBA-SMART medium to improve the specificity of the test. This study has a high prevalence of carbapenemases among isolates with potential of rapid spread necessitating need for phenotypic tests.

DOI

10.21608/mid.2022.118857.1242

Keywords

Carbapenemase, inhibition, genes

Authors

First Name

Aliaa

Last Name

Ghandour

MiddleName

Mahmoud

Affiliation

Medical Microbiology and Immunology Department, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

aliaaghandour@yahoo.com

City

Assiut

Orcid

-

First Name

Wegdan

Last Name

Mohamad

MiddleName

Abdelhamid

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut-Egypt.

Email

wegdan.elagan@yahoo.com

City

Assiut

Orcid

-

First Name

Rania

Last Name

Bakry

MiddleName

Mohamed

Affiliation

Department of Oncological Clinical Pathology, South Egypt Cancer Institute, Assiut University, Assiut, Egypt.

Email

rbakry.md@gmail.com

City

Assiut

Orcid

-

First Name

Asmaa

Last Name

Ahmed

MiddleName

Omar

Affiliation

Department of Clinical Pathology, Faculty of Medicine, Assiut University, Assiut, Egypt

Email

as.omar@aun.edu.eg

City

Assiut

Orcid

-

First Name

Nahla

Last Name

Elsherbiny

MiddleName

Mohamed

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Assiut University, Assiut-Egypt.

Email

nahlaelsherbiny@aun.edu.eg

City

Assiut

Orcid

-

Volume

3

Article Issue

2

Related Issue

32908

Issue Date

2022-05-01

Receive Date

2022-01-09

Publish Date

2022-05-01

Page Start

366

Page End

377

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_220418.html

Detail API

https://mid.journals.ekb.eg/service?article_code=220418

Order

16

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023